| NPI | 1518956424 |
|---|---|
| Other Name | SACRED HEART HOME |
| Entity Type | Organization |
| Authorized Contact | GINGER LYNDALL Treasurer 251-476-6335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: AL 09684) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: AL 09678) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2013-12-19 |